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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $/��.� Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: 4��,C'Z 7 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> JOB SITE ADDRESS: -3 Z 6 /Ya_?P7`�4 (:312fY W r;r'- w�y���� ZIP: S5- <br /> (work) ' a <br /> NAME OF OWNER: �.��iJ '�.5���-�(f /J PHONE: (home)tr2( ?2Z-& <br /> MAILING ADDRESS: 0 hcoRf( mac I- CITY: Wy ��%A` ZIP: ,5v5-2Q� <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration__ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : f% R 6 0`= S <br /> STORIES: SQ. FEET OF EACH FLOOR: / 'v f Wr� My PT tfd`S/-- <br /> -T <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �'L— <br />